1427003862 NPI number — AWARE INC

Table of content: (NPI 1427003862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427003862 NPI number — AWARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AWARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427003862
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 E PARK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANACONDA
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59711-2340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-563-8117
Provider Business Mailing Address Fax Number:
406-563-5956

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 E PARK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANACONDA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59711-2340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-563-8117
Provider Business Practice Location Address Fax Number:
406-563-5956
Provider Enumeration Date:
05/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
YORK
Authorized Official First Name:
LESLIE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
BUSINESS OPERATIONS MGR
Authorized Official Telephone Number:
406-563-8117

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 322D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0350812 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000744813 . This is a "BCBS PRE-LIC'D PROFESSNLS" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".
  • Identifier: 0493119 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: NM600001 . This is a "VALUEOPTIONS VENDOR ID" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 0502299 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0047124 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0255374 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0290343 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0320255 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0320331 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 690812 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 92507255 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: B3373 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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